Read the following information.

Free OET Writing Sample Test with Answer Subtest Dietetics #1

Notes: Sarah Johnson was referred to you by her gynecologist for fertility counseling.


Patient: Mrs. Sarah Johnson DOB: 15th June 1980

20th September 2023

Presenting Complaint: Difficulty conceiving for 18 months

History of Presenting Complaint: Irregular menstrual cycles, occasional pelvic pain, frustration, stress

No previous pregnancies

Past Medical History: Polycystic Ovary Syndrome (PCOS), diagnosed in 2017 Appendectomy, 2005

Anthropometric Data:

Height: 165cm

Weight: 70kg

BMI: 25.7

Biochemical Data:

TSH: 2.5 mIU/L (Ref range: 0.5-5.0 mIU/L)

FSH: 8.0 mIU/mL (Ref range: Follicular phase: 2.5-10.2 mIU/mL)

LH: 12.5 mIU/mL (Ref range: Follicular phase: 1.9-12.5 mIU/mL)

Prolactin: 15 ng/mL (Ref range: 4.8-23.3 ng/mL)

Medication: Metformin (500mg) twice daily

Folic acid supplement

Social History: Married, non-smoker, no recreational drug use

Moderate alcohol consumption (2-3 drinks/week)

Regular exercise (3 times/week)

Stressful job

Dietary Information:

Breakfast: Oatmeal with berries and almond milk

Lunch: Grilled chicken salad with vegetables

Dinner: Baked salmon with quinoa and steamed broccoli

Snacks: Greek yogurt and a handful of almonds


Advice given: Lifestyle modifications - stress management, regular exercise

Dietary counseling - balanced, PCOS-friendly diet

Continue Metformin

Referral for further fertility evaluation

Immediate plan: Schedule follow-up appointment in 3 months

Refer to a fertility specialist for a comprehensive assessment

Writing Task:

Using the information in the case notes, write a letter back to the referring gynecologist, Dr. Emily Roberts, Women's Health Clinic, 456 Park Avenue, Cityville. In your answer:

--Expand the relevant notes into complete sentences

--Do not use note form

--Use letter format

The body of the letter should be approximately 180–200 words.

Dr. Emily Roberts

Women's Health Clinic

456 Park Avenue



20th September 2023


Dear Dr. Roberts,


Re: Mrs. Sarah Johnson, DOB 15th June 1980.


I am writing to provide an update on your patient, Mrs. Sarah Johnson, who came to our clinic for fertility counseling. Following our consultation, here is the plan we have discussed:

Mrs. Johnson has been experiencing difficulty conceiving for the past 18 months, which is understandably causing her frustration and stress. She has irregular menstrual cycles and a history of Polycystic Ovary Syndrome (PCOS) diagnosed in 2017. No previous pregnancies have been reported.

In terms of her anthropometric and biochemical data, her BMI is 25.7, and her hormonal profile shows elevated LH levels, consistent with her PCOS diagnosis. Her TSH and prolactin levels are within the normal range.

I have advised Mrs. Johnson to make some lifestyle modifications, including stress management techniques and regular exercise. We have discussed a balanced diet tailored to her PCOS condition. She will continue her Metformin medication.

Our immediate plan involves scheduling a follow-up appointment in 3 months to assess progress. Additionally, I am referring her to a fertility specialist for a comprehensive evaluation.

Please feel free to reach out if you require any further information or have specific questions regarding Mrs. Johnson's case.


Yours sincerely,


TIP : Practice with a partner simulating patient interactions to improve communication skills and get used to OET scenarios.